2 health deficiencies
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Kittanning, PA
3-star overall rating with 3-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
One Nolte Drive, Kittanning, PA
(724) 543-8458
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
17
Certified beds
Average residents
11
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-02-23
CMS approved date
Coverage
Medicare
Participation flags
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Hospital-based
Yes
CMS reports the provider resides in a hospital
Staffing
RN hours / resident day
2.61
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
2.97
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
7.62
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
5.58
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
6.93
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
2.26
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.46
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
2.39
CMS adjusted RN staffing hours
Adjusted total hours
6.96
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
33%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,552
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.49
Composite VBP score used to determine payment impact.
Payment multiplier
0.9925
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
1.91
Baseline 19.94% · Performance 20.55% · Measure score 1.91 · Achievement 1.91 · Improvement 0
Healthcare-associated infections
5.99
Baseline 5.39% · Performance 6.04% · Measure score 5.99 · Achievement 5.99 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.54% |
10.72%
1.2 pts better
|
No Different than the National Rate · Eligible stays 131 · Observed rate 6.11% · Lower 95% interval 6.99% |
| Discharge to community | 80.18% |
50.57%
29.6 pts better
|
Better than the National Rate · Eligible stays 120 · Observed rate 82.5% · Lower 95% interval 73.65% |
| Medicare spending per beneficiary | 0.61 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | 91.03% |
95.27%
4.2 pts worse
|
Numerator 71 · Denominator 78 |
| Falls with major injury | 1.28% |
0.77%
0.5 pts worse
|
Numerator 1 · Denominator 78 |
| Discharge self-care score | 41.18% |
53.69%
12.5 pts worse
|
Numerator 28 · Denominator 68 |
| Discharge mobility score | 29.41% |
50.94%
21.5 pts worse
|
Numerator 20 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 5.13% |
2.29%
2.8 pts worse
|
Numerator 4 · Denominator 78 · Adjusted rate 7.29% |
| Healthcare-associated infections requiring hospitalization | 6.05% |
7.12%
1.1 pts better
|
No Different than the National Rate · Eligible stays 75 · Observed rate 2.67% · Lower 95% interval 3.33% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 120 |
| Staff flu vaccination coverage | 50% |
42%
8 pts better
|
Numerator 15 · Denominator 30 |
| Discharge function score | 27.94% |
56.45%
28.5 pts worse
|
Numerator 19 · Denominator 68 |
| Transfer of health information to provider | 86.44% |
95.95%
9.5 pts worse
|
Numerator 51 · Denominator 59 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 8.33% |
25.2%
16.9 pts worse
|
Numerator 3 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.5% |
68.9%
17.6 pts better
|
81.7%
4.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.7% · Q2 87.4% · Q3 88.0% · Q4 82.6% · 4Q avg 86.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.5% |
9.8%
0.7 pts worse
|
12.0%
1.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.5% · Observed 9.5% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.5%
0.5 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.9% · Q3 2.0% · Q4 3.3% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.7% |
68.7%
21 pts better
|
79.7%
10 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.5% |
23.1%
4.4 pts worse
|
23.9%
3.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 27.5% · Observed 22.2% · Expected 19.2% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Resident Rights (6 deficiencies)
13 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)
Top issue: Resident Rights (3 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-04
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2025-09-04
Fire Safety
List the names and contact information of those in the facility.
Corrected 2025-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-04
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-04
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-11-24
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-11-24
Fire Safety
Have a battery powered remote alarm panel in a location accessible by operating personnel.
Corrected 2024-11-24
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-24
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2024-11-24
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2024-11-24
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-24
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-11-24
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-11-24
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-11-24
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-11-24
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2024-11-24
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-11-24
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-12-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-01
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-15
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2023-12-01
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-12-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-12-01
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2023-12-01
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-12-01
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2025-08-09
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-08-09
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-11-01
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-11-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-11-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-11-01
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-11-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-11-01
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-11-01
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-11-01
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2024-11-01
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-11-01
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-11-01
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-11-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-11-01
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-11-30
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-11-30
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-11-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-11-30
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-30
Health
Provide and implement an infection prevention and control program.
Corrected 2023-11-30
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Corporate Director · Individual
Nearby options
Kittanning, PA
1-star overall rating with 1-star inspections with $84,270 in total fines with 37 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Kittanning, PA
1-star overall rating with 1-star inspections with $85,548 in total fines with 34 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
Worthington, PA
2-star overall rating with 1-star inspections with $155,235 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
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